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L, <br /> • Provide names and addresses of all adjoining property owners. <br /> *Adjoiners are all parcels(including vacant parcels)that touch the applicants parcel, including those across the road and <br /> those that only touch at a common property corner. Address for the owner would be their mailing address(where they get <br /> their mail) in many cases, this may not be the site address. Attach additional sheets if necessary. <br /> ODavid and Deborah Pothen / '� Dan and Joy Dressel .j-� . jai.: 3,C3 j"714 Hillary Farm Lane 29700 Mahlen Drive 2 Z 3 7t- <br /> 7 Gem Lake MN Danbury WI 54830 <br /> Tax ID:22362,22363 <br /> Byron Anderson <br /> to519th Ave N70ipWK m .51,-,/rs C( - ' <br /> 7 South St.Paul, MN 55075 <br /> Tax ID:22383,22384,22385 <br /> • Proposed building/structure locations must be staked prior to submitting this application to the <br /> Land Services Department.County staff will do an onsite visit to verify site conditions.If site is <br /> not staked upon County staff visit this application will be returned to the applicant.Returned <br /> application will result in the item being removed from the hearing agenda,and the submittal <br /> deadlines will restart. <br /> • If all existing structures are not shown and dimensioned on the plot plan drawing the application <br /> will be returned to the applicant.Returned application will result in the item being removed from <br /> the hearing agenda and the submittal deadlines will restart. <br /> • THIS APPLICATION CONSTITUTES NOTICE THAT ALL IMPROVEMENTS ARE SUBJECT <br /> TO ACCESS AND/OR REVIEW BY THE LOCAL MUNICPALITY'S TAX ASSESSOR FOR <br /> THE PURPOSE OF TAX ASSESSMENT <br /> I hereby make application to the Burnett County Land Use and Information Committee for a Conditional Use Permit <br /> (CUP). I certify that the information I have provided in this application (including any accompanying drawings and <br /> plans)is true and accurate. I agree to permit County officials charged with administering county ordinances or other <br /> authorized persons to have access to the above-described premises at any reasonable time for the purpose of inspection. <br /> I understand that the application fee is non-refundable regardless if the Conditional Use Permit(CUP)is approved or <br /> denied. I understand that the fee for this application is only for the Conditional Use Permit(CUP)application and if <br /> permits are required for the project that those will require separate fees. I understand that partial or incomplete <br /> applications will be returned to the applicant resulting in the application being removed from the hearing agenda,and <br /> the submitt <br /> �_ .� /../., <br /> I deadlines will restart. �JSigned / ` ,- '92 40 <br /> pplicant) (Date) <br /> Sigrid Ali t'l <br /> Owner) (Date) <br /> Page 3 of 4 <br /> Burnett County,WI Conditional Use Permit(CUP)Application—Rev 11/2019 <br />